Aleph Holiday Club Registration Form

Aleph Holiday Club Registration 2024-2025

Please fill out all fields in this form (one for each child). If you have any questions or concerns please contact us at [email protected]
All clubs take place on Wednesdays from 4:00 - 5:30 PM

Rosh Hashana Airlines - September 25
Sukkot Space Station - October 23
Chanukah Block Party - December 18
Tu B’Shvat Tree House Adventure - February 12
Purim in Minecraft City - March 12
The Model Matzah Bakery - April 9
Number of Students to Sign-up*
Student Profile
Student 1 Profile
Full Name

First Name Last Name
Hebrew Name
Birth Date

Month Day Year
School
Grade Entering
How would you rate their Hebrew reading proficiency?

NoneSomewhatWell
How would you rate their general knowledge of Jewish concepts and ideas?

Not FamiliarSomewhat familiarVery Familiar
Has your child had previous Jewish Education?

YesNo
If yes, where?
Does your child have any allergies or other medical condition we should be aware of? If yes, please describe them and indicate special precautions or care needed
Does your child have any learning diffrences? What can we do to help them succeed?
STUDENT 1 CLUB ADMISSION
Sign up option:

Sign up for all - $100Sign up individually - $20 each
Which holidays would you like to sign up to?:

Rosh Hashana Airlines - September 25Sukkot Space Station October 23Chanukah Block Party - December 18Tu B’Shvat Tree House Adventure - February 12, 2025Purim in Minecraft City - March 12, 2025The Model Matzah Bakery - April 9, 2025
Student Two Profile
Full Name

First Name Last Name
Hebrew Name*
Birth Date*

Month Day Year
School*
Grade Entering *
How would you rate their Hebrew reading proficiency?*

NoneSomewhatWell
How would you rate their general knowledge of Jewish concepts and ideas?*

Not FamiliarSomewhat familiarVery Familiar
Has your child had previous Jewish Education?*

YesNo
If yes, where?*
Does your child have any allergies or other medical condition we should be aware of? If yes, please describe them and indicate special precautions or care needed*
Does your child have any learning diffrences? What can we do to help them succeed?*
STUDENT 2 CLUB ADMISSION
Sign up option:

Sign up for all - $100Sign up individually - $20 each
Which holidays would you like to sign up to?:

Rosh Hashana Airlines - September 25Sukkot Space Station October 23Chanukah Block Party - December 18Tu B’Shvat Tree House Adventure - February 12, 2025Purim in Minecraft City - March 12, 2025The Model Matzah Bakery - April 9, 2025
Parent Information
Father's Name

First Name Last Name
Father's Occupation
Is father Jewish?
Father's E-mail
Father's Phone Number

Area Code Phone Number
Mother's Name

First Name Last Name
Mother's Occupation
Is mother Jewish?
Mother's Email
Mother's Phone Number

Area Code Phone Number

Home address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Total

$0.00

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

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Programs

Aleph Holiday Club Registration Form

Aleph Holiday Club Registration 2024-2025

Student Profile

Student 1 Profile

STUDENT 1 CLUB ADMISSION

Student Two Profile

STUDENT 2 CLUB ADMISSION

Parent Information

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